33 吳先生因十二指腸潰瘍出血需接受緊急開刀,下列手術術式的選擇何者最不恰當?
(A)潰瘍縫合止血(oversew)
(B)潰瘍縫合止血加高選擇性迷走神經切斷術(oversew and highly selective vagotomy)
(C)潰瘍縫合止血加迷走神經幹切斷術加幽門成形術(oversew with truncal vagotomy and pyloroplasty)
(D)胃竇(含潰瘍)切除術加 Roux-en-Y 胃空腸造口術 (antrectomy with Roux-en-Ygastrojejunostomy)
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統計:
A(24), B(6), C(5), D(26), E(0) #1047492